Use of external fixators for open tibial injuries in the rural third world: Panacea of the poor?

SummaryAimTo determine the cost-effectiveness of external in comparison with internal fixation of tibial fractures in rural India.MethodsA retrospective study of 41 patients with open tibial fractures and 1 with infected non-union, treated with tubular external fixators.ResultsThe average cost to the patient of an external fixator was approximately Rs 600 (or US$ 12), which compares very favourably with costs of internal fixation of similar effectiveness.ConclusionIn rural India, the use of locally made external fixators for primary and definitive treatment of open tibial fractures is cost effective.